LARRY D. STUCKEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1467425306

LARRY D. STUCKEY (CRNA) is a healthcare provider. based in Oregon, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. COA.02581-NA (OH). The NPI Number for LARRY D. STUCKEY (CRNA) is 1467425306

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
LARRY D. STUCKEY (CRNA)
NPI
1467425306
Phone
(419) 693-4444
Address
2740 Navarre Ave
Enumeration Date
10 February 2006
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172054800
Graduation Year
1986 (40 years ago)
PAC ID
7810978269
Group Practice PAC ID
0244136067
Professional Enrollment ID
I20050722000457
Address ID
MI492011753JA205XXAVEX475
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for LARRY D. STUCKEY (CRNA)

  • 2740 Navarre Ave

    Oregon, OH 436163216

    Phone: (419) 693-4444

    Type: Location

  • 600 ONE STRAIGHT DR

    COLDWATER, MI 490368845

    Phone: (419) 229-2622

    Fax: (419) 229-2646

    Type: Mailing

  • 1 FORD PL STE 3A

    DETROIT, MI 482023450

    Phone: (313) 874-4806

    Type: Mailing

  • 205 N EAST AVE

    JACKSON, MI 492011753

    Phone: (517) 205-7838

    Fax: (517) 205-5903

    Type: Location

  • 2740, Navarre Avenue, Oregon, Lucas County, Ohio, 43616, United States

    OREGON, OH 436163216

    Phone: (419) 693-4444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050722000457ICertified Registered Nurse Anesthetist (Crna)MITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope3232$0
00812Anesthesia for exam of colon using an endoscope2020$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1615$0
00813Anesthesia for procedure on small and large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 43616)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244136067View full group profile

Reviews

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Frequently asked questions

Can I cross-check LARRY D. STUCKEY (CRNA) using NPI 1467425306?
NPI 1467425306 belongs to LARRY D. STUCKEY (CRNA); compare other details if you need extra assurance.
Is LARRY D. STUCKEY (CRNA) shown as active in public data?
Registry records indicate LARRY D. STUCKEY (CRNA) maintains an active NPI.
What kind of doctor is LARRY D. STUCKEY (CRNA)?
LARRY D. STUCKEY (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is LARRY D. STUCKEY (CRNA) associated with Oregon?
Public fields place LARRY D. STUCKEY (CRNA) around Oregon, Ohio. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for LARRY D. STUCKEY (CRNA) is noted as February 10, 2006 where the registry provides it.

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